Addressing Parental Vaccine Hesitancy and Other Barriers to Childhood/Adolescent Vaccination Uptake During the Coronavirus (COVID-19) Pandemic.
Addressing Parental Vaccine Hesitancy and Other Barriers to Childhood/Adolescent Vaccination Uptake During the Coronavirus (COVID-19) Pandemic.
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DOI：
10.3389/fimmu.2021.663074
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发表时间：
2021
影响因子：
7.3
通讯作者：
Shaban-Nejad A
中科院分区：
文献类型：
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作者：
Olusanya OA;Bednarczyk RA;Davis RL;Shaban-Nejad A
在控制许多致命疾病方面，儿童常规免疫被证明是最有效的公共卫生干预措施之一。因此，疾控中心建议儿童和青少年人群进行常规免疫接种，以预防疫苗可预防的疾病，如破伤风、百日咳、白喉等。这项最新审查旨在检查新冠肺炎大流行期间儿童接种疫苗行为的障碍。我们还探讨了在持续的健康危机期间父母疫苗迟疑/延迟的影响，并提出了增加疫苗信心和遵从性的建议。我们的审查确定，在过去十年中，美国和田纳西州的疫苗接种量稳步改善。然而，新冠肺炎大流行和其他障碍，如父母接种疫苗的迟疑、健康的社会决定因素不平等等，阻碍了这一渐进进展，这些障碍进一步加剧了疫苗接种差距。此外，不遵守常规疫苗接种可能导致疾病暴发，从而使目前的健康危机和本已紧张的卫生保健系统雪上加霜。医疗保健提供者处于独特的地位，可以通过假定的语言提供有效的建议，以提高疫苗接种率，以及解决父母对疫苗的犹豫不决。最佳做法包括医疗保健提供者的质量改进培训、疫苗接种提醒召回系统、遵守标准化的安全协议(物理距离、手卫生做法等)，以及提供远程保健和户外/免下车/路边接种服务等。此外，应作出协调一致的努力，利用公共卫生监测系统收集、分析和解释数据，从而确保传播及时、准确的卫生信息，以便进行有效的卫生政策决策，如疫苗分发等。
Routine childhood immunizations are proven to be one of the most effective public health interventions at controlling numerous deadly diseases. Therefore, the CDC recommends routine immunizations for children and adolescent populations against vaccine-preventable diseases e.g., tetanus, pertussis, diphtheria, etc. This current review sought to examine barriers to pediatric vaccine uptake behaviors during the COVID-19 pandemic. We also explored the implications for parental vaccine hesitancy/delay during an ongoing health crisis and proposed recommendations for increasing vaccine confidence and compliance. Our review determined that the receipt for vaccinations steadily improved in the last decade for both the United States and Tennessee. However, this incremental progress has been forestalled by the COVID-19 pandemic and other barriers i.e. parental vaccine hesitancy, social determinants of health (SDoH) inequalities, etc. which further exacerbate vaccination disparities. Moreover, non-compliance to routine vaccinations could cause an outbreak of diseases, thereby, worsening the ongoing health crisis and already strained health care system. Healthcare providers are uniquely positioned to offer effective recommendations with presumptive languaging to increase vaccination rates, as well as, address parental vaccine hesitancy. Best practices that incorporate healthcare providers’ quality improvement coaching, vaccination reminder recall systems, adherence to standardized safety protocols (physical distancing, hand hygiene practices, etc.), as well as, offer telehealth and outdoor/drive-through/curbside vaccination services, etc. are warranted. Additionally, a concerted effort should be made to utilize public health surveillance systems to collect, analyze, and interpret data, thereby, ensuring the dissemination of timely, accurate health information for effective health policy decision-making e.g., vaccine distribution, etc.
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